A new study indicates that about 150 minutes of moderate exercise weekly can significantly improve the odds of reversing prediabetes and halting its progression. The findings, published in Cardiovascular Diabetology – Endocrinology Reports, offer practical steps for communities aiming to curb type 2 diabetes growth—an issue rising in urban Thailand due to lifestyle shifts and aging populations.
Globally, type 2 diabetes poses a growing health challenge. The World Health Organization notes more than 6% of adults live with the condition, with projections suggesting an increase to around 7% by 2030. In Thailand, risk is amplified by rapid urbanization and aging, underscoring the need for accessible prevention strategies that fit local routines and climates.
Prediabetes denotes higher-than-normal blood sugar but not yet diabetes. It serves as a critical warning: without intervention, up to half of those with prediabetes may develop type 2 diabetes. In Thai cities, factors such as sugary beverages, white rice, and sedentary behavior heighten risk, particularly among younger and middle-aged adults.
The study analyzed 130 adults in a cardiovascular risk program in Cali, Colombia, from 2019 to 2023. It found that exceeding 150 minutes of weekly activity substantially raised the likelihood of returning to a healthy glucose profile. Participants averaged 69.5 years old and shared risk traits common in Thai at‑risk groups: about half were overweight or obese, and four-fifths had hypertension. After one year, 21.5% reversed prediabetes, 64.6% remained prediabetic, and 13.8% progressed to diabetes.
Healthcare professionals emphasize that diet, weight management, and exercise work together for lasting health. Researchers noted that a BMI above 25 and an HbA1c above 6% reduce the chance of reversing prediabetes. They also proposed glucose/triglyceride index as a cost-effective screening approach—potentially useful for Thailand, where resources are stretched.
Thai experts point out that the traditional Thai diet—once rich in lean proteins, vegetables, and complex carbohydrates—has increasingly shifted toward processed foods and added fats. Encouragingly, the study shows that modest activity—such as brisk walking, cycling, or swimming—can make a meaningful difference when paired with mindful eating.
For Thai health planners, the message is clear: integrate regular HbA1c and glucose/triglyceride index testing into community clinics; expand nationwide physical activity campaigns that respect local culture and climate; and enhance public education about hidden sugars and ultra-processed foods. Community spaces like health parks and government preventive programs provide a strong foundation for these efforts.
Looking ahead, experts advocate embedding regular metabolic testing in clinics, expanding country-specific activity initiatives, and leveraging digital health tools. Mobile apps for activity tracking and telemedicine for follow-ups can help reach both younger Thais and older adults at risk of chronic disease.
Practical takeaway for Thai readers: if you are at risk of prediabetes, aim for 150 minutes of moderate exercise each week. Four 40-minute walks, evening cycling, or group activities at local temples or community centers are good starting points. Pair movement with a diet lower in refined sugars and processed foods, and seek regular screening where available. Small, sustainable changes today can prevent serious complications tomorrow.
For further guidance, follow guidance from Thailand’s Ministry of Public Health and international health bodies, framed for local relevance.